-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note.
The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
20
11
For calendar year 2011, or tax year beginning
08-01-2011
, and ending
07-31-2012
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
Name of foundation
THOMAS H AND MARY HADLEY CONNER LEATH FND
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state, and ZIP code
WILSON
,
NC
278942907
A Employer identification number
56-6294400
B
Telephone number (see page 10 of the instructions)
(910) 693-2726
C
If exemption application is pending, check here
D 1.
Foreign organizations, check here .
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
2.
Foreign organizations meeting the 85% test,
check here and attach computation
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
2,372,793
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
E
If private foundation status was terminated
under section 507(b)(1)(A), check here
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
3
Interest on savings and temporary cash investments
4,250
4,250
4
Dividends and interest from securities
......
61,896
61,896
5a
Gross rents
..............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
30,832
b
Gross sales price for all assets on line 6a
1,765,674
7
Capital gain net income (from Part IV, line 2)
...
30,832
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
1,346
1,346
12
Total.
Add lines 1 through 11
........
98,324
98,324
13
Compensation of officers, directors, trustees, etc.
31,830
31,830
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see page 14 of the instructions)
5,050
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
245
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
37,125
31,830
0
0
25
Contributions, gifts, grants paid
........
113,000
113,000
26
Total expenses and disbursements.
Add lines 24 and 25
150,125
31,830
0
113,000
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-51,801
b
Net investment income
(if negative, enter -0-)
66,494
c
Adjusted net income
(if negative, enter -0-)
...
0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X
Form
990-PF
(2011)
Form 990-PF (2011)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
...............
2
Savings and temporary cash investments
..........
35,722
47,612
47,612
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)
....................
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
...............
9
Prepaid expenses and deferred charges
...........
10a
Investments—U.S. and state government obligations (attach schedule)
101,807
101,807
106,666
b
Investments—corporate stock (attach schedule)
........
1,119,538
1,158,658
1,286,104
c
Investments—corporate bonds (attach schedule)
........
992,134
891,604
932,311
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
..............
13
Investments—other (attach schedule)
...........
0
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
1
1
100
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
2,249,202
2,199,682
2,372,793
17
Accounts payable and accrued expenses
..........
18
Grants payable
...................
19
Deferred revenue
..................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
..........
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
....................
25
Temporarily restricted
................
26
Permanently restricted
................
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
.........
2,249,202
2,199,682
28
Paid-in or capital surplus, or land, bldg., and equipment fund
29
Retained earnings, accumulated income, endowment, or other funds
30
Total net assets or fund balances
(see page 17 of the
instructions)
....................
2,249,202
2,199,682
31
Total liabilities and net assets/fund balances
(see page 17 of
the instructions)
..................
2,249,202
2,199,682
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)
...............
1
2,249,202
2
Enter amount from Part I, line 27a
.....................
2
-51,801
3
Other increases not included in line 2 (itemize)
3
2,296
4
Add lines 1, 2, and 3
..........................
4
2,199,697
5
Decreases not included in line 2 (itemize)
5
15
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
2,199,682
Form
990-PF
(2011)
Form 990-PF (2011)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
610. ABB LTD SPONSORED ADR
2011-08-24
b
80. ACACIA RESEARCH COMMON
2011-05-16
2011-08-24
c
70. ADECCO SA REG UNSPON ADR
2011-03-24
2011-08-24
d
220. ADIDAS AG
2009-08-17
2011-08-24
e
80. AIXTRON AG ADR
2010-07-06
2011-08-24
30. ALBEMARLE CORP COMMON
2011-05-16
2011-08-24
230. ALCOA INC
2011-02-14
2011-08-24
480. ALCOA INC
2010-11-10
2011-08-24
60. AMERICAN EXPRESS COMPANY
2011-02-14
2011-08-24
80. AMGEN INCORPORATED
2011-05-16
2011-08-24
170. AMPHENOL CORP CL A
2009-08-17
2011-08-24
80. ANGLO AMERICAN PLC UNSPONSORED ADR
2011-02-14
2011-08-24
30. ANHEUSER-BUSCH INBEV NV SPN ADR
2009-08-17
2011-08-24
60. AON CORPORATION COMMON
2011-02-14
2011-08-24
26. APPLE COMPUTER CORPORATION COMMON
2011-08-24
4. APPLE COMPUTER CORPORATION COMMON
2010-11-10
2011-08-24
180. APPROACH RESOURCES INC COMMON
2011-08-24
80. ARCELORMITTAL
2011-08-24
1992.888 ARTISAN INTERNATIONAL SMALL CAP FUND # 1
2011-08-24
180. ASAHI GLASS COMPANY LIMITED
2011-03-24
2011-08-24
200. AVNET INCORPORATED
2011-02-14
2011-08-24
180. ADR AXA-UAP F/K/A AXA SA SPONSORED ADR
2009-08-17
2011-08-24
60. BNP PARIBAS
2011-03-24
2011-08-24
120. BNP PARIBAS
2011-08-24
20. BAKER HUGHES INCORPORATED
2011-07-21
2011-08-24
157. BANCO BRADESCO S A
2009-08-17
2011-08-24
300. BANCO SANTANDER CENT HISPANO SA ADR
2009-08-17
2011-08-24
530. BANK OF AMER CORP COMMON
2010-07-06
2011-08-24
50. BANK OF NOVA SCOTIA
2011-08-24
40. BANK OF NOVA SCOTIA
2011-07-21
2011-08-24
50. THE BANK OF YOKOHAMA LTD
2011-08-24
130. BARCLAYS PLC ADR
2011-08-24
30. BAYER A G SPONSORED ADR
2011-05-16
2011-08-24
20. BAYER A G SPONSORED ADR
2009-08-17
2011-08-24
110. BAYERISCHE MOTOREN WERKE (BMW) UNSPONS A
2010-08-04
2011-08-24
190. BE AEROSPACE INC COMMON
2011-05-16
2011-08-24
20. BELLE INTERNATIONAL HOLDINGS LIMITED
2011-07-21
2011-08-24
90. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2011-08-24
140. BHP BILLITON LIMITED
2011-08-24
20. BIO-RAD LABS CLASS A
2011-02-14
2011-08-24
60. BIO-RAD LABS CLASS A
2011-08-24
50. BRITISH SKY BROADCAST, ADR
2009-08-17
2011-08-24
110. CIT GROUP INC COMMON
2011-08-24
100. CAMECO CORP
2009-08-17
2011-08-24
110. CATALYST HEALTH SOLUTIONS INC COMMON
2011-07-21
2011-08-24
210. CENOVUS ENERGY INC.
2010-11-10
2011-08-24
50. CENOVUS ENERGY INC.
2011-02-14
2011-08-24
110. CEPHEID INC COMMON
2011-05-16
2011-08-24
405. CISCO SYSTEMS
2011-08-24
100. CISCO SYSTEMS
2011-03-24
2011-08-24
30. COCA COLA COMPANY
2011-07-21
2011-08-24
305. COMCAST CORP NEW CL A
2011-08-24
370. COMPAGNIE FINANCIERE RICHEMONT SA
2010-11-10
2011-08-24
283. COMPANHIA ENERG DE MINAS GER PFD
2011-08-24
20. CONOCOPHILLIPS COM
2003-11-20
2011-08-24
160. CORNING INCORPORATED
2011-08-24
90. CREDIT SUISSE GROUP SPONS ADR
2011-08-24
378.931 CREDIT SUISSE COMMODITY RETURN STRATEGY INSTITUTIONAL SHS FD 2
2009-08-20
2011-08-24
60. CROWN HOLDINGS INC COMMON
2011-08-24
160. DEUSTCHE BOERSE AG ADR
2009-08-17
2011-08-24
100. DILLARDS INC
2011-05-16
2011-08-24
220. DISNEY WALT COMPANY
2011-08-24
50. DISCOVER FINL SVCS
2010-07-06
2011-08-24
100. DISCOVER FINL SVCS
2011-02-14
2011-08-24
130. DISCOVER FINL SVCS
2010-11-10
2011-08-24
140. DOW CHEMICAL COMPANY
2011-07-21
2011-08-24
50. DRESSER-RAND GROUP INC COMMON
2011-07-21
2011-08-24
50. ENI SPA - SPONSORED ADR COMMON
2009-08-17
2011-08-24
70. ENSCO INTERNATIONAL PLC
2011-07-21
2011-08-24
180. EVERCORE PARTNERS INC-CL A COMMON
2011-07-21
2011-08-24
290. EXPEDIA INC COMMON
2011-08-24
60. EXXON MOBIL CORPORATION
2009-12-22
2011-08-24
938.622 FEDERATED TOTAL RETURN GOV'T BOND FUND #647
2009-10-26
2011-08-24
50. GDF SUEZ SPONS ADR
2009-08-17
2011-08-24
120. GAFISA S.A.
2010-02-23
2011-08-24
130. GAFISA S.A.
2010-11-10
2011-08-24
130. GARTNER,INC COMMON
2011-05-16
2011-08-24
200. GAZPROM
2009-08-17
2011-08-24
570. GENERAL ELECTRIC COMPANY
2011-08-24
10. GOOGLE INC CL A
2009-02-26
2011-08-24
260. GRAFTECH INTERNATIONAL LTD
2011-08-24
1390. GRAPHIC PACKAGING HOLDING CO COMMON
2011-08-24
100. HDFC BANK LTD ADR
2011-08-24
110. HARRIS CORP
2011-05-16
2011-08-24
60. HENKEL KGAA
2009-08-17
2011-08-24
150. HEWLETT PACKARD COMPANY
2009-08-17
2011-08-24
130. HOLCIM LTD UNSPON ADR
2011-05-16
2011-08-24
60. HOWARD HUGHES CORPORATION COMMON
2011-07-21
2011-08-24
50. J. B. HUNT
2011-05-16
2011-08-24
760. HUNTINGTON BANCSHARES INC COMMON
2011-08-24
200. HYPERMARCAS S.A.
2011-07-21
2011-08-24
190. IAC/INTERACTIVE CORP COMMON
2011-08-24
170. ICAP PLC
2009-08-17
2011-08-24
250. INDUSTRIAL AND COMMERCIAL BANK OF CHINA
2011-03-24
2011-08-24
25. INDUSTRIAL AND COMMERCIAL BANK OF CHINA
2009-08-17
2011-08-24
20. INTERCONTINENTALEXCHANGE INC COMMON
2011-02-14
2011-08-24
40. INTERCONTINENTALEXCHANGE INC COMMON
2011-08-24
35. INTERNATIONAL BUSINESS MACHINES CORP
2009-05-15
2011-08-24
650. INTERPUBLIC GROUP
2011-03-24
2011-08-24
50. ISHARES FTSE/XINHUA CHINA 25 INDEX FUND
2011-05-16
2011-08-24
30. ISHARES FTSE/XINHUA CHINA 25 INDEX FUND
2010-04-20
2011-08-24
240. ISHARES BARCLAYS 1-3 YEAR CREDIT BOND FD
2010-04-20
2011-08-24
70. ITC HOLDINGS CORP COMMON
2011-07-21
2011-08-24
190. J P MORGAN CHASE & CO
2011-08-24
180. MINING AND METALLURGICAL CO NORILSK NICK
2009-08-17
2011-08-24
40. JOHNSON & JOHNSON
2003-11-20
2011-08-24
30. KB FINANCIAL GROUP INC COMMON
2009-08-17
2011-08-24
150. KBR INC COMMON
2011-02-14
2011-08-24
210. KINGFISHER PLC-SPONS ADR
2010-02-23
2011-08-24
290. KINGFISHER PLC-SPONS ADR
2011-02-14
2011-08-24
60. KAMATSU LTD
2011-05-16
2011-08-24
190. KRAFT FOODS INC-A COMMON
2009-05-15
2011-08-24
40. LIBERTY MEDIA STARZ SERIES A COMMON
2011-03-24
2011-08-24
120. LIFE TECHNOLOGIES CORP COMMON
2011-02-14
2011-08-24
580. LLOYDS TSB GROUP
2011-05-16
2011-08-24
130. LOWES COMPANIES INCORPORATED
2011-02-14
2011-08-24
110. MANULIFE FINANCIAL CORPORATION - DEMUTUALIZATION BENEFIT
2009-08-17
2011-08-24
170. MARUI LTD ADR
2011-08-24
70. MECHEL OAO
2011-02-14
2011-08-24
120. MEDTRONIC INC
2007-11-08
2011-08-24
170. MERCK & CO INC
2011-08-24
210. METLIFE COMMON
2009-12-22
2011-08-24
380. MICROSOFT CORPORATION
2011-08-24
100. MICROCHIP TECHNOLOGY INC
2011-02-14
2011-08-24
140. MICROCHIP TECHNOLOGY INC
2010-11-10
2011-08-24
260. MICROSEMI CORP
2011-07-21
2011-08-24
6. MITSUI & CO LTD
2011-02-14
2011-08-24
4. MITSUI & CO LTD
2010-04-20
2011-08-24
330. MONOTYPE IMAGING HOLDINGS INC COMMON
2009-08-17
2011-08-24
120. MOODY'S CORPORATION
2011-05-16
2011-08-24
110. MORGAN STANLEY DEAN WITTER DIS CO
2010-02-23
2011-08-24
50. NIDEC CORPORATION
2011-07-21
2011-08-24
70. NIDEC CORPORATION
2009-08-17
2011-08-24
80. NINTENDO LTD
2009-08-17
2011-08-24
20. LUKOIL COMMON
2009-10-21
2011-08-24
90. ORACLE SYSTEM CORPORATION
2008-10-30
2011-08-24
2475.538 PIMCO LOW DURATION INSTITUTIONAL
2011-02-22
2011-08-24
1617.933 PIMCO PIMS FOREIGN BOND FUND
2011-02-14
2011-08-24
30. PEPSICO INCORPORATED
2008-12-10
2011-08-24
20. PETROCHINA COMPANY LTD COMMON
2010-02-23
2011-08-24
100. PETROLEO BRASILEIRO SA PETROBRAS
2009-08-17
2011-08-24
310. PING AN INSURANCE GROUP COMPANY OF CHINA
2011-08-24
180. PLANTRONICS INC COMMON
2011-05-16
2011-08-24
20. PROASSURANCE CORP COMMON
2011-07-21
2011-08-24
40. PROASSURANCE CORP COMMON
2009-08-17
2011-08-24
20. PROCTOR AND GAMBLE COMPANY
2011-02-14
2011-08-24
130. PRUDENTIAL PLC
2009-08-17
2011-08-24
80. PUBLICIS GROUPE ADR
2011-02-14
2011-08-24
70. RAYONIER INC COMMON
2009-08-17
2011-08-24
130. ROCK-TENN CO
2011-08-24
50. ROLLS ROYCE PLC ADR
2011-07-21
2011-08-24
420. SLM CORPORATION COMMON
2011-08-24
200. ST JUDE MEDICAL INC COMMON
2011-08-24
90. ST JUDE MEDICAL INC COMMON
2010-02-23
2011-08-24
220. SANDVIK AB
2010-07-06
2011-08-24
180. SBERBANK OF RUSSIA
2011-07-21
2011-08-24
40. SIEMENS AG SPONSORED ADR
2011-08-24
60. SOCIEDAD QUIMICA MINERA DE CHILE S A SPONSORED ADR REPSTG SER B SH
2009-12-22
2011-08-24
80. SOLERA HOLDINGS INC COMMON
2011-05-16
2011-08-24
180. SOLUTIA INC COMMON
2009-09-21
2011-08-24
320. SOUTHWEST AIRLINES
2010-11-10
2011-08-24
270. SOUTHWEST AIRLINES
2011-03-24
2011-08-24
90. STAPLES INC COMMON
2011-02-14
2011-08-24
50. STAPLES INC COMMON
2009-08-17
2011-08-24
150. STERLITE IND LTD.
2011-02-14
2011-08-24
340. ST MICROELETRONICS N.V.
2011-08-24
170. SUBSEA 7 SA
2009-08-17
2011-08-24
300. SUMITOMO CORPORATION
2009-08-17
2011-08-24
670. SUMITOMO MITSUI TRUST HOLDINGS INC
2011-04-05
2011-08-24
360. SUNCOR ENERGY, INC
2011-08-24
70. TARGET CORP COM
2011-02-14
2011-08-24
80. TEAM HEALTH HOLDINGS, INC. COMMON
2011-07-21
2011-08-24
50. TECK RESOURCES LTD COMMON
2010-11-10
2011-08-24
50. TECK RESOURCES LTD COMMON
2010-02-23
2011-08-24
80. TELENOR ASA ADR
2011-08-24
50. TENCENT HOLDINGS LIMITED LTD UNSPONS ADR
2011-07-21
2011-08-24
90. TENCENT HOLDINGS LIMITED LTD UNSPONS ADR
2009-08-17
2011-08-24
100. TESCO PLC SPONS ADR
2009-08-17
2011-08-24
190. TESCO CORP
2010-11-10
2011-08-24
60. TESCO CORP
2011-07-21
2011-08-24
80. TEVA PHARMACEUTICAL INDS LTD ADR
2010-02-23
2011-08-24
100. THERMO ELECTRON COMMON
2011-02-14
2011-08-24
40. TIDEWATER INC COMMON
2011-02-14
2011-08-24
20. TOYOTA MOTOR CORP ADR 2
2009-08-17
2011-08-24
30. TOYOTA MOTOR CORP ADR 2
2011-02-14
2011-08-24
130. UNILEVER N V NY SHS NEW F
2011-08-24
240. UNITED RENTALS INC
2011-08-24
190. VALE SA SP PREF ADR
2011-08-24
150. VERISIGN INC COMMON
2011-07-21
2011-08-24
100. VESTAS WIND SYSTEMS A/S ADR
2009-08-17
2011-08-24
160. VESTAS WIND SYSTEMS A/S ADR
2011-03-24
2011-08-24
190. VESTAS WIND SYSTEMS A/S ADR
2010-11-10
2011-08-24
60. WAL MART STORES INCORPORATED
2011-08-24
230. WASTE CONNECTIONS
2011-07-21
2011-08-24
150. WELLS FARGO & CO NEW
2009-08-17
2011-08-24
20. WESTPAC BANKING LTD COM
2011-07-21
2011-08-24
30. WESTPAC BANKING LTD COM
2011-08-24
160. WEYERHAEUSER COMPANY
2011-05-16
2011-08-24
50. JOHN WILEY & SONS INC. CLASS A
2011-02-14
2011-08-24
100. JOHN WILEY & SONS INC. CLASS A
2009-08-17
2011-08-24
70. WOLVERINE WORLD WIDE INC COMMON
2011-07-21
2011-08-24
100. WOLVERINE WORLD WIDE INC COMMON
2009-09-21
2011-08-24
30. WOODSIDE PETROLEUM LTD SPONSORED ADR
2011-07-21
2011-08-24
80. WORLEYPARSONS LIMITED
2011-07-21
2011-08-24
270. WYNDHAM WORLDWIDE CORP
2011-08-24
120. WILLIS GROUP HOLDINGS
2011-07-21
2011-08-24
110. ALLIED WORLD ASSURANCE COMPANY HOLDINGS
2010-02-23
2011-08-24
230. TE CONNECTIVITY LTD
2011-08-24
80. TYCO INTERNATIONAL LTD
2011-08-24
50. ABBOTT LABORATORIES
2011-12-27
120. ADMIRAL GROUP PLC
2011-08-24
2011-12-27
330. ALCOA INC
2011-12-27
40. ALLEGIANT TRAVEL COMPANY COMMON
2011-08-24
2011-12-27
4274.238 AMERICAN CENTURY DIVERSIFIED BOND FUND #
2011-12-27
30. AMGEN INCORPORATED
2011-05-16
2011-12-27
30. AON CORPORATION COMMON
2011-02-14
2011-12-27
50. BRISTOL MYERS SQUIBB COMPANY
2011-08-24
2011-12-27
20. CASEY'S GENERAL STORES, INC. COMMON
2011-08-24
2011-12-27
40. CENOVUS ENERGY INC.
2011-02-14
2011-12-27
70. CISCO SYSTEMS
2011-03-24
2011-12-27
120. COMERICA, INC. COMMON
2011-08-24
2011-12-27
80. COMPLETE PRODUCTION SERVICES INC COMMON
2011-08-24
2011-12-27
100. CORNING INCORPORATED
2008-12-10
2011-12-27
20. CYMER COMMON
2011-08-24
2011-12-27
280. DANA HOLDINGS CORPORATION COMMON
2011-08-24
2011-12-27
50. DOMINION RESOURCES INC/VA COMMON
2011-08-24
2011-12-27
80. DOW CHEMICAL COMPANY
2011-07-21
2011-12-27
70. ELAN CORP INC ADR
2011-08-24
2011-12-27
160. ENCANA CORP COMMON
2011-08-24
2011-12-27
40. ENERSYS COMMON
2011-08-24
2011-12-27
40. ENSCO INTERNATIONAL PLC
2011-07-21
2011-12-27
3270.571 FEDERATED TOTAL RETURN GOV'T BOND FUND #647
2009-10-26
2011-12-27
20. F5 NETWORKS INC COMMON
2011-08-24
2011-12-27
110. HUMAN GENOME SCIENCES INC
2011-08-24
2011-12-27
80. INTEL CORPORATION
2007-11-08
2011-12-27
440. ISHARES BARCLAYS 1-3 YEAR CREDIT BOND FD
2011-12-27
30. KRAFT FOODS INC-A COMMON
2009-05-15
2011-12-27
30. LINCOLN ELECTRIC HOLDINGS COMMON
2011-08-24
2011-12-27
70. LOCKHEED MARTIN CORP
2011-08-24
2011-12-27
20. LORILLARD INC COMMON
2011-08-24
2011-12-27
210. MASTEC INC COMMON
2011-08-24
2011-12-27
30. MEDNAX INC COMMON
2010-02-23
2011-12-27
50. METLIFE COMMON
2010-02-23
2011-12-27
20. METLIFE COMMON
2011-07-21
2011-12-27
20. MOHAWK IND INC COMMON
2011-08-24
2011-12-27
90. MORGAN STANLEY DEAN WITTER DIS CO
2010-02-23
2011-12-27
120. NEW ORIENTAL EDUCATION SP ADR
2011-02-14
2011-12-27
130. NEW YORK COMMUNITY BANCORP INC. COMMON
2011-08-24
2011-12-27
30. NOVO-NORDISK A S ADR
2009-08-17
2011-12-27
100. NUANCE COMMUNICATIONS INC COMMON
2011-08-24
2011-12-27
30. ONYX PHARMACEUTICALS INC COM
2011-08-24
2011-12-27
2270.822 PIMCO LOW DURATION INSTITUTIONAL
2011-12-27
19790.253 PIMCO PIMS FOREIGN BOND FUND
2011-12-27
240. PANTRY, INC.
2011-08-24
2011-12-27
60. PROGRESS ENERGY, INC
2011-08-24
2011-12-27
210. QUEST SOFTWARE INC
2011-08-24
2011-12-27
40. ROSS STORES INC COM
2011-08-24
2011-12-27
90. SALLY BEAUTY COMPANY INC COMMON
2011-08-24
2011-12-27
20. SIGNATURE BANK COMMON
2011-08-24
2011-12-27
330. SOUTHWEST AIRLINES
2011-03-24
2011-12-27
250. SOUTHWEST BANCORP INC/OKLA COMMON
2011-08-24
2011-12-27
240. STAPLES INC COMMON
2011-02-14
2011-12-27
60. TOLL BROTHERS INC
2011-08-24
2011-12-27
59.904 GLOBAL ABSOLUTE RETURN FUND
2011-08-24
2011-12-27
90. VERIZON COMMUNICATIONS INC
2011-08-24
2011-12-27
190. VIRGINIA COMMERCE BANCORP N/C FROM VIRGINIA COMMERCE BANK EFF 12/
2011-08-24
2011-12-27
30. WPP PLC ADR
2011-08-24
2011-12-27
30. WHITING PETROLEUM CORP COMMON
2010-04-20
2011-12-27
50. ARCH CAPITAL GROUP LTD
2011-08-24
2011-12-27
90. SEAGATE TECHNOLOGY
2011-08-24
2011-12-27
220. UTI WORLDWIDE INC
2011-08-24
2011-12-27
70. TYCO INTERNATIONAL LTD
2010-08-04
2011-12-27
30. CNH GLOBAL N V
2011-08-24
2011-12-27
20. AMGEN INCORPORATED
2011-07-21
2012-03-07
5. APPLE COMPUTER CORPORATION COMMON
2010-11-10
2012-03-07
300. BG GROUP PLC SPON ADR
2012-03-07
50. BG GROUP PLC SPON ADR
2009-08-17
2012-03-07
30. BARRICK GOLD CORP. EFF. 1-18-95
2011-12-27
2012-03-07
70. CIT GROUP INC COMMON
2011-12-27
2012-03-07
50. CENOVUS ENERGY INC.
2011-02-14
2012-03-07
40. CINCINNATI FINANCIAL CORP
2011-08-24
2012-03-07
40. CONSOLIDATED EDISON INC COMMON
2011-08-24
2012-03-07
50. DU PONT E I DE NEMOURS & COMPANY
2011-12-27
2012-03-07
30. EXXON MOBIL CORPORATION
2011-12-27
2012-03-07
40. FEDEX CORPORATION
2011-02-14
2012-03-07
280. GENERAL ELECTRIC COMPANY
2012-03-07
110. INVESTMENT TECH GROUP INC
2011-08-24
2012-03-07
30. J P MORGAN CHASE & CO
2010-08-04
2012-03-07
70. J P MORGAN CHASE & CO
2011-02-14
2012-03-07
30. KELLOGG COMPANY
2011-12-27
2012-03-07
40. KOHLS CORP COMMON
2011-12-27
2012-03-07
40. LOWES COMPANIES INCORPORATED
2011-12-27
2012-03-07
90. LOWES COMPANIES INCORPORATED
2011-02-14
2012-03-07
20. M & T BK CORP
2011-12-27
2012-03-07
100. MVC CAPITAL
2011-12-27
2012-03-07
40. METLIFE COMMON
2011-07-21
2012-03-07
5. MICROSOFT CORPORATION
2008-12-10
2012-03-07
100. MTN GROUP LTD ADR
2009-08-17
2012-03-07
100. MTN GROUP LTD ADR
2011-07-21
2012-03-07
60. ORACLE SYSTEM CORPORATION
2008-10-30
2012-03-07
70. ST JUDE MEDICAL INC COMMON
2011-07-21
2012-03-07
30. SHIRE PHARMACEUTICALS GROUP PLC
2011-08-24
2012-03-07
120. SOLUTIA INC COMMON
2012-03-07
30. SUNCOR ENERGY, INC
2010-02-23
2012-03-07
50. SYSCO CORPORATION
2011-12-27
2012-03-07
70. TEXAS INSTRUMENTS INCORPORATED
2010-11-10
2012-03-07
130. TEXAS INSTRUMENTS INCORPORATED
2011-02-14
2012-03-07
30. UNITED HEALTH GROUP INC
2011-12-27
2012-03-07
60. WMS INDUSTRIES INC COMMON
2011-08-24
2012-03-07
90. WELLS FARGO & CO NEW
2009-08-17
2012-03-07
130. WEYERHAEUSER COMPANY
2011-05-16
2012-03-07
110. TE CONNECTIVITY LTD
2012-03-07
150. LAZARD LTD
2011-08-24
2012-03-26
40. AT&T INC
2011-12-27
2012-06-11
255. AT&T INC
2009-02-26
2012-06-11
120. ABBOTT LABORATORIES
2012-06-11
40. ABBOTT LABORATORIES
2009-09-21
2012-06-11
80. ACCRETIVE HEATLH, INC COMMON
2011-12-27
2012-06-11
70. AGNICO EAGLE MINES LIMITED
2011-08-24
2012-06-11
250. ALTRIA GROUP INC
2012-06-11
829.403 AMERICAN CENTURY DIVERSIFIED BOND FUND #
2009-09-21
2012-06-11
30. AMERICAN EXPRESS COMPANY
2011-12-27
2012-06-11
20. AMERICAN EXPRESS COMPANY
2011-02-14
2012-06-11
30. AMERISOURCEBERGEN CORP. COMMON
2011-08-24
2012-06-11
40. ARCHER DANIELS MIDLAND COMPANY
2011-08-24
2012-06-11
90. ASTRAZENECA PLC SPONS ADR
2011-08-24
2012-06-11
120. BCE INC
2011-08-24
2012-06-11
40. BAKER HUGHES INCORPORATED
2012-06-11
20. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2011-12-27
2012-06-11
20. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2009-08-17
2012-06-11
150. BRISTOL MYERS SQUIBB COMPANY
2011-08-24
2012-06-11
70. CVS CORP COMMON
2011-12-27
2012-06-11
90. CARNIVAL CORP PAIRED CTF 1 COM
2011-08-24
2012-06-11
20. CASEY'S GENERAL STORES, INC. COMMON
2011-08-24
2012-06-11
90. CENTURYTEL INC
2011-08-24
2012-06-11
10. CHEVRON TEXACO CORP COMMON
2008-08-04
2012-06-11
450. CHINA RESOURCES ENTERPRISE LTD SP ADR
2011-08-24
2012-06-11
140. CISCO SYSTEMS
2011-03-24
2012-06-11
50. COCA COLA COMPANY
2011-07-21
2012-06-11
150. COMCAST CORP NEW CL A
2009-10-21
2012-06-11
50. CYTEC INDUSTRIES, INC COMMON
2011-12-27
2012-06-11
20. DASSAULT SYSTEMS COMMON
2011-08-24
2012-06-11
80. DISNEY WALT COMPANY
2009-03-25
2012-06-11
98.074 DODGE & COX INCOME FUND
2010-02-23
2012-06-11
50. DOMINION RESOURCES INC/VA COMMON
2011-08-24
2012-06-11
164.936 DOUBLELINE TOTAL RETURN BOND FUND
2011-12-27
2012-06-11
220. DUKE ENERGY CORP
2011-08-24
2012-06-11
90. EMC CORPORATION COMMON
2011-12-27
2012-06-11
80. ELSTER GROUP SE
2012-06-11
40. ENERSYS COMMON
2011-08-24
2012-06-11
60. EXPRESS SCRIPTS HOLDING CO COMMON
2011-12-27
2012-06-11
30. EXXON MOBIL CORPORATION
2009-12-22
2012-06-11
291.505 FEDERATED TOTAL RETURN GOV'T BOND FUND #647
2009-10-26
2012-06-11
10. F5 NETWORKS INC COMMON
2011-08-24
2012-06-11
40. FREEPORT-MCM COPR GOLD CL B
2011-07-21
2012-06-11
120. GLAXO PLC
2012-06-11
4. GOOGLE INC CL A
2011-05-16
2012-06-11
2. GOOGLE INC CL A
2011-12-27
2012-06-11
50. HCP, INC COMMON
2011-12-27
2012-06-11
60. HEALTH CARE REIT INC
2011-08-24
2012-06-11
100. H J HEINZ COMPANY
2011-08-24
2012-06-11
50. HONEYWELL INTERNATIONAL INC
2011-08-24
2012-06-11
50. INTERDIGITAL INC COMMON
2011-08-24
2012-06-11
10. INTERNATIONAL BUSINESS MACHINES CORP
2009-05-15
2012-06-11
80. JARDEN CORP COMMON
2011-08-24
2012-06-11
90. JOHNSON & JOHNSON
2003-11-20
2012-06-11
60. JUPITER TELECOMMUNICATIONS CO LTD ADR
2011-08-24
2012-06-11
80. KIMBERLY CLARK CORPORATION
2011-08-24
2012-06-11
40. KRAFT FOODS INC-A COMMON
2009-05-15
2012-06-11
90. LAM RESH CORP
2011-12-27
2012-06-11
180. ELI LILLY & CO
2012-06-11
507.399 MANAGERS AMG FQ GLOBAL ALTERNATIVE FUND
2011-08-24
2012-06-11
70. MEDTRONIC INC
2007-11-08
2012-06-11
30. MERCK & CO INC
2011-12-27
2012-06-11
80. MERCK & CO INC
2009-08-17
2012-06-11
248.36 THE MERGER FUND
2011-08-24
2012-06-11
331.644 METROPOLITAN WEST TOTAL RETURN BOND FUND
2011-12-27
2012-06-11
100. MICROSOFT CORPORATION
2009-01-23
2012-06-11
4. NVR INC. COMMON
2011-08-24
2012-06-11
90. NATIONAL GRID GROUP-SPON ADR
2011-08-24
2012-06-11
60. OCEANEERING INTERNATIONAL INC
2011-08-24
2012-06-11
190. PPL CORPORATION
2012-06-11
40. PAREXEL INTERNATIONAL COMMON
2011-08-24
2012-06-11
30. PEPSICO INCORPORATED
2008-12-10
2012-06-11
90. PHILIP MORRIS INTERNATIONAL
2011-08-24
2012-06-11
80. PHILLIPS 66 COMMON
2003-11-20
2012-06-11
70. PROCTOR AND GAMBLE COMPANY
2011-02-14
2012-06-11
100. REYNOLDS AMERICAN INC COMMON
2011-08-24
2012-06-11
20. ROSS STORES INC COM
2011-08-24
2012-06-11
110. ROYAL DUTCH SHELL PLC ADR CL B
2012-06-11
40. SALLY BEAUTY COMPANY INC COMMON
2011-08-24
2012-06-11
40. UTILITIES SELECT SECTOR SPDR FUND
2011-07-21
2012-06-11
140. SOLUTIA INC COMMON
2011-07-21
2012-06-11
130. SOUTHERN COMPANY
2011-08-24
2012-06-11
70. STERIS CORP COMMON
2011-08-24
2012-06-11
50. STRYKER CORP COMMON
2011-12-27
2012-06-11
40. TARGET CORP COM
2011-02-14
2012-06-11
5. TELEFONICA S A
2011-08-24
2012-06-11
185. TELEFONICA S A
2011-08-24
2012-06-11
40. THERMO ELECTRON COMMON
2011-02-14
2012-06-11
20. FINA S A SPONSORED
2011-12-27
2012-06-11
60. FINA S A SPONSORED
2009-08-17
2012-06-11
30. TRACTOR SUPPLY COMPANY COMMON
2011-08-24
2012-06-11
160. VERIZON COMMUNICATIONS INC
2012-06-11
150. VODAFONE GROUP PLC NEW SP ADR
2012-06-11
40. VODAFONE GROUP PLC NEW SP ADR
2011-08-24
2012-06-11
30. WAL MART STORES INCORPORATED
2010-08-04
2012-06-11
60. WAL-MART DE MEXICO
2009-08-17
2012-06-11
190. WAL-MART DE MEXICO
2011-08-24
2012-06-11
120. WINDSTREAM CORP
2011-08-24
2012-06-11
30. WISCONSIN ENERGY CORPORATION
2011-08-24
2012-06-11
60. HERBALIFE LTD
2011-12-27
2012-06-11
50. INVESCO LTD
2011-08-24
2012-06-11
70. PARTNERRE HOLDINGS LTD
2011-08-24
2012-06-11
60. SEAGATE TECHNOLOGY
2011-08-24
2012-06-11
60. WARNER CHILCOTT PLC CLASS A
2012-06-11
100. ACME PACKET INC COMMON
2012-06-11
2012-07-25
20. ALLEGIANT TRAVEL COMPANY COMMON
2011-08-24
2012-07-25
180. ALLSCRIPTS HEALTHCARE SOLUTIONS
2011-08-24
2012-07-25
10. CHEVRON TEXACO CORP COMMON
2008-08-04
2012-07-25
62.502 COHEN & STEERS REALTY SHARES INSTITUTION
2011-07-21
2012-07-25
20. CONOCOPHILLIPS COM
2003-11-20
2012-07-25
554.629 CREDIT SUISSE COMMODITY RETURN STRATEGY INSTITUTIONAL SHS FD 2
2009-08-20
2012-07-25
30. CROWN HOLDINGS INC COMMON
2010-08-04
2012-07-25
50. DIAGEO PLC SPONSORED ADR
2011-08-24
2012-07-25
50. ELSTER GROUP SE
2011-08-24
2012-07-25
30. ENERSYS COMMON
2011-08-24
2012-07-25
620. ERSTE BK DER OESTER SPAR-ADR
2012-07-25
70. ERSTE BK DER OESTER SPAR-ADR
2011-07-21
2012-07-25
20. JGC CORPORATION
2011-08-24
2012-07-25
80. LAYNE CHRISTENSEN COMPANY
2011-08-24
2012-07-25
648.565 THE MERGER FUND
2012-07-25
40. MICROSOFT CORPORATION
2009-01-23
2012-07-25
30. ONYX PHARMACEUTICALS INC COM
2011-08-24
2012-07-25
130. ORACLE SYSTEM CORPORATION
2012-06-11
2012-07-25
40. ORACLE SYSTEM CORPORATION
2008-10-30
2012-07-25
40. PAREXEL INTERNATIONAL COMMON
2011-08-24
2012-07-25
50. PEPSICO INCORPORATED
2012-07-25
110. PFIZER INCORPORATED
2010-07-06
2012-07-25
10. PFIZER INCORPORATED
2011-07-21
2012-07-25
5. TELEFONICA S A
2012-06-15
2012-07-25
70. TOLL BROTHERS INC
2011-08-24
2012-07-25
40. SEAGATE TECHNOLOGY
2011-08-24
2012-07-25
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
12,407
7,441
4,966
b
3,093
3,092
1
c
1,503
2,347
-844
d
7,273
4,968
2,305
e
1,746
2,155
-409
1,433
2,083
-650
2,677
4,056
-1,379
5,587
6,655
-1,068
2,858
2,791
67
4,298
4,785
-487
7,427
5,529
1,898
1,483
2,201
-718
1,618
1,176
442
2,695
3,023
-328
9,732
6,562
3,170
1,497
1,261
236
3,072
5,092
-2,020
1,629
2,690
-1,061
36,589
33,070
3,519
1,678
2,344
-666
5,130
7,345
-2,215
2,732
3,926
-1,194
1,432
2,279
-847
2,864
4,699
-1,835
1,105
1,588
-483
2,624
2,028
596
2,643
4,196
-1,553
3,652
7,425
-3,773
2,627
2,071
556
2,102
2,430
-328
2,331
2,584
-253
1,284
3,006
-1,722
1,947
2,499
-552
1,298
1,187
111
2,812
2,103
709
6,281
7,172
-891
1,859
2,144
-285
6,295
5,475
820
11,267
8,858
2,409
1,978
2,174
-196
5,934
5,072
862
2,068
1,726
342
3,464
4,976
-1,512
2,198
2,806
-608
5,733
7,270
-1,537
7,209
6,211
998
1,716
1,813
-97
3,624
3,444
180
6,200
7,931
-1,731
1,531
1,753
-222
2,069
2,089
-20
6,197
5,248
949
1,942
1,961
-19
4,947
4,030
917
1,314
571
743
2,293
1,545
748
2,468
4,413
-1,945
3,494
3,130
364
2,015
1,561
454
925
1,165
-240
4,476
5,527
-1,051
7,086
4,572
2,514
1,225
693
532
2,450
2,177
273
3,185
2,406
779
3,679
5,020
-1,341
1,883
2,778
-895
1,946
2,234
-288
3,041
3,657
-616
4,367
5,755
-1,388
7,931
8,134
-203
4,379
4,123
256
10,972
10,606
366
1,534
1,883
-349
1,066
1,813
-747
1,154
2,058
-904
4,453
4,996
-543
2,368
1,905
463
8,858
3,580
5,278
5,208
3,483
1,725
3,679
5,416
-1,737
5,657
7,464
-1,807
3,129
2,151
978
4,079
5,347
-1,268
3,574
2,270
1,304
3,730
6,485
-2,755
1,507
2,036
-529
3,094
3,781
-687
1,933
2,282
-349
3,648
5,434
-1,786
1,550
1,694
-144
6,918
6,224
694
2,431
2,474
-43
3,057
4,053
-996
306
343
-37
2,225
2,580
-355
4,450
4,262
188
5,763
3,548
2,215
5,317
7,761
-2,444
1,835
2,175
-340
1,101
1,278
-177
25,027
25,049
-22
5,260
5,060
200
6,709
7,858
-1,149
4,007
1,820
2,187
2,614
2,077
537
1,145
1,195
-50
4,074
5,158
-1,084
1,571
1,384
187
2,169
2,361
-192
1,480
1,988
-508
6,460
4,710
1,750
2,647
3,176
-529
4,522
6,447
-1,925
1,114
2,052
-938
2,639
3,271
-632
1,450
2,141
-691
2,659
2,289
370
1,196
2,289
-1,093
4,067
5,442
-1,375
5,460
5,095
365
6,724
7,496
-772
9,382
2,580
6,802
3,160
3,833
-673
4,424
4,714
-290
4,109
5,230
-1,121
1,900
2,175
-275
1,267
1,337
-70
3,544
2,139
1,405
3,556
4,622
-1,066
1,758
3,070
-1,312
1,000
1,242
-242
1,401
1,224
177
1,638
2,582
-944
1,153
1,327
-174
2,368
1,628
740
25,721
25,770
-49
17,182
16,810
372
1,902
1,574
328
2,450
2,229
221
2,769
4,103
-1,334
5,000
6,211
-1,211
5,735
6,746
-1,011
1,399
1,455
-56
2,797
2,091
706
1,256
1,288
-32
2,576
2,117
459
1,866
2,218
-352
4,213
2,785
1,428
6,278
5,904
374
2,453
2,687
-234
5,804
4,854
950
8,727
9,729
-1,002
3,927
3,453
474
2,671
2,746
-75
1,926
2,686
-760
4,097
3,283
814
3,572
2,300
1,272
4,467
4,594
-127
2,786
2,389
397
2,582
4,464
-1,882
2,179
3,375
-1,196
1,292
1,990
-698
718
1,064
-346
1,648
2,175
-527
2,122
4,151
-2,029
3,714
1,688
2,026
3,651
3,045
606
2,104
2,345
-241
11,096
10,988
108
3,552
3,778
-226
1,463
1,864
-401
2,009
2,414
-405
2,009
1,839
170
3,860
3,822
38
1,130
1,327
-197
2,034
1,339
695
1,854
1,792
62
2,896
2,576
320
914
1,372
-458
3,151
4,778
-1,627
5,253
5,727
-474
2,012
2,266
-254
1,435
1,678
-243
2,153
2,778
-625
4,387
4,141
246
3,470
7,426
-3,956
4,554
3,648
906
4,557
4,992
-435
661
2,488
-1,827
1,058
2,144
-1,086
1,256
2,046
-790
3,187
3,178
9
7,703
7,843
-140
3,621
3,991
-370
2,091
2,332
-241
3,136
3,028
108
2,591
3,607
-1,016
2,290
2,398
-108
4,580
2,991
1,589
2,404
2,822
-418
3,435
2,595
840
1,099
1,313
-214
2,178
2,562
-384
8,051
8,383
-332
4,346
4,770
-424
5,682
5,082
600
6,722
6,514
208
3,201
2,876
325
2,808
2,276
532
1,543
2,684
-1,141
2,892
5,780
-2,888
2,175
1,790
385
46,675
45,113
1,562
1,933
1,794
139
1,412
1,511
-99
1,762
1,439
323
1,034
827
207
1,317
1,450
-133
1,301
1,227
74
3,130
2,815
315
2,745
2,167
578
1,325
881
444
1,018
801
217
3,368
3,184
184
2,669
2,479
190
2,312
2,868
-556
928
681
247
3,002
4,003
-1,001
1,049
863
186
1,948
2,089
-141
38,364
36,957
1,407
2,140
1,442
698
782
1,428
-646
1,970
2,059
-89
45,910
46,048
-138
1,132
744
388
1,188
946
242
5,690
5,083
607
2,282
2,211
71
3,673
4,102
-429
2,142
1,587
555
1,566
1,747
-181
626
841
-215
1,224
886
338
1,385
2,512
-1,127
2,889
2,849
40
1,605
1,610
-5
3,406
1,810
1,596
2,558
1,718
840
1,333
932
401
23,412
23,730
-318
211,162
205,670
5,492
2,777
2,880
-103
3,350
2,905
445
3,954
3,430
524
1,961
1,466
495
1,934
1,445
489
1,229
1,029
200
2,785
4,125
-1,340
1,655
1,230
425
3,391
5,306
-1,915
1,208
905
303
1,110
1,122
-12
3,596
3,269
327
1,439
1,112
327
1,545
1,532
13
1,409
1,269
140
1,878
1,621
257
1,420
977
443
2,982
2,743
239
3,284
2,692
592
1,111
829
282
1,340
1,115
225
2,667
1,576
1,091
6,906
6,496
410
1,151
822
329
1,372
1,365
7
2,722
2,485
237
1,824
1,813
11
1,386
1,067
319
2,315
2,270
45
2,511
2,318
193
2,575
2,558
17
3,585
3,766
-181
5,253
4,450
803
1,204
1,230
-26
1,197
1,238
-41
2,793
3,263
-470
1,554
1,525
29
1,924
2,002
-78
1,145
1,026
119
2,577
2,265
312
1,594
1,535
59
1,240
1,202
38
1,516
1,682
-166
159
104
55
1,816
1,582
234
1,816
2,153
-337
1,813
1,085
728
2,860
3,467
-607
3,085
2,939
146
3,325
1,544
1,781
1,017
891
126
1,473
1,481
-8
2,286
2,182
104
4,246
4,667
-421
1,636
1,543
93
1,279
1,306
-27
2,755
2,395
360
2,677
2,931
-254
3,868
2,944
924
4,429
4,098
331
1,395
1,206
189
8,893
6,145
2,748
7,427
6,351
1,076
2,476
1,862
614
868
1,942
-1,074
2,772
4,520
-1,748
8,285
7,029
1,256
9,256
8,792
464
1,669
1,434
235
1,113
930
183
1,104
1,134
-30
1,275
1,125
150
3,714
4,227
-513
4,903
4,730
173
1,568
2,286
-718
1,617
1,545
72
1,617
1,300
317
5,154
4,318
836
3,149
2,879
270
2,952
2,783
169
1,182
827
355
3,398
3,116
282
1,008
847
161
2,655
3,663
-1,008
2,321
2,454
-133
3,755
3,482
273
4,536
2,317
2,219
2,976
2,289
687
1,814
1,550
264
3,693
1,468
2,225
1,341
1,285
56
2,655
2,479
176
1,847
1,832
15
5,093
4,157
936
2,200
1,959
241
1,117
1,252
-135
1,317
863
454
3,133
2,699
434
2,437
2,062
375
3,440
3,294
146
1,015
721
294
1,341
2,200
-859
5,359
5,239
120
2,300
2,103
197
1,150
1,285
-135
2,061
2,081
-20
3,332
2,879
453
5,339
5,091
248
2,788
2,217
571
1,172
3,347
-2,175
1,943
1,014
929
3,277
2,247
1,030
5,630
4,673
957
4,195
4,379
-184
6,514
5,394
1,120
1,535
992
543
3,371
3,369
2
7,522
6,671
851
4,683
4,445
238
2,617
3,174
-557
1,161
1,134
27
3,096
2,470
626
3,909
3,867
42
3,532
3,423
109
2,925
1,731
1,194
3,104
2,400
704
4,633
4,538
95
2,749
2,315
434
5,269
5,317
-48
1,078
768
310
2,052
1,574
478
7,652
6,301
1,351
2,629
1,046
1,583
4,399
4,507
-108
4,139
3,662
477
1,284
733
551
7,265
7,376
-111
1,056
642
414
1,477
1,363
114
3,842
3,170
672
6,174
5,354
820
2,167
2,098
69
2,594
2,494
100
2,363
2,159
204
60
103
-43
2,235
3,805
-1,570
2,015
2,291
-276
872
1,016
-144
2,615
3,163
-548
2,582
1,758
824
6,857
5,891
966
3,985
3,164
821
1,063
1,096
-33
2,042
1,544
498
1,474
1,067
407
4,666
5,010
-344
1,132
1,441
-309
1,163
945
218
2,704
3,156
-452
1,130
868
262
5,041
3,923
1,118
1,365
651
714
1,111
976
135
1,730
2,245
-515
1,366
895
471
1,676
2,987
-1,311
1,061
847
214
2,734
2,728
6
1,062
440
622
4,559
4,581
-22
1,040
849
191
5,150
3,679
1,471
1,020
802
218
994
648
346
5,177
8,402
-3,225
584
1,783
-1,199
1,159
1,085
74
1,657
2,127
-470
10,202
10,274
-72
1,160
692
468
2,287
932
1,355
3,825
3,537
288
1,177
723
454
1,094
768
326
3,510
2,733
777
2,560
1,569
991
233
202
31
52
190
-138
2,054
1,056
998
1,057
434
623
44
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
4,966
b
1
c
-844
d
2,305
e
-409
-650
-1,379
-1,068
67
-487
1,898
-718
442
-328
3,170
236
-2,020
-1,061
3,519
-666
-2,215
-1,194
-847
-1,835
-483
596
-1,553
-3,773
556
-328
-253
-1,722
-552
111
709
-891
-285
820
2,409
-196
862
342
-1,512
-608
-1,537
998
-97
180
-1,731
-222
-20
949
-19
917
743
748
-1,945
364
454
-240
-1,051
2,514
532
273
779
-1,341
-895
-288
-616
-1,388
-203
256
366
-349
-747
-904
-543
463
5,278
1,725
-1,737
-1,807
978
-1,268
1,304
-2,755
-529
-687
-349
-1,786
-144
694
-43
-996
-37
-355
188
2,215
-2,444
-340
-177
-22
200
-1,149
2,187
537
-50
-1,084
187
-192
-508
1,750
-529
-1,925
-938
-632
-691
370
-1,093
-1,375
365
-772
6,802
-673
-290
-1,121
-275
-70
1,405
-1,066
-1,312
-242
177
-944
-174
740
-49
372
328
221
-1,334
-1,211
-1,011
-56
706
-32
459
-352
1,428
374
-234
950
-1,002
474
-75
-760
814
1,272
-127
397
-1,882
-1,196
-698
-346
-527
-2,029
2,026
606
-241
108
-226
-401
-405
170
38
-197
695
62
320
-458
-1,627
-474
-254
-243
-625
246
-3,956
906
-435
-1,827
-1,086
-790
9
-140
-370
-241
108
-1,016
-108
1,589
-418
840
-214
-384
-332
-424
600
208
325
532
-1,141
-2,888
385
1,562
139
-99
323
207
-133
74
315
578
444
217
184
190
-556
247
-1,001
186
-141
1,407
698
-646
-89
-138
388
242
607
71
-429
555
-181
-215
338
-1,127
40
-5
1,596
840
401
-318
5,492
-103
445
524
495
489
200
-1,340
425
-1,915
303
-12
327
327
13
140
257
443
239
592
282
225
1,091
410
329
7
237
11
319
45
193
17
-181
803
-26
-41
-470
29
-78
119
312
59
38
-166
55
234
-337
728
-607
146
1,781
126
-8
104
-421
93
-27
360
-254
924
331
189
2,748
1,076
614
-1,074
-1,748
1,256
464
235
183
-30
150
-513
173
-718
72
317
836
270
169
355
282
161
-1,008
-133
273
2,219
687
264
2,225
56
176
15
936
241
-135
454
434
375
146
294
-859
120
197
-135
-20
453
248
571
-2,175
929
1,030
957
-184
1,120
543
2
851
238
-557
27
626
42
109
1,194
704
95
434
-48
310
478
1,351
1,583
-108
477
551
-111
414
114
672
820
69
100
204
-43
-1,570
-276
-144
-548
824
966
821
-33
498
407
-344
-309
218
-452
262
1,118
714
135
-515
471
-1,311
214
6
622
-22
191
1,471
218
346
-3,225
-1,199
74
-470
-72
468
1,355
288
454
326
777
991
31
-138
998
623
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
30,832
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8
.
.
.
.
.
.
.
.
.
.
.
.
.
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2010
110,901
2,388,289
0.046435
2009
74,000
2,254,481
0.032824
2008
82,500
2,067,433
0.039905
2007
117,396
2,451,684
0.047884
2006
92,900
2,456,658
0.037816
2
Total
of line 1, column (d)
......................
2
0.204864
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
.
.
.
3
0.040973
4
Enter the net value of noncharitable-use assets for 2011 from Part X, line 5
.....
4
2,315,824
5
Multiply line 4 by line 3
.......................
5
94,886
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
665
7
Add lines 5 and 6
.........................
7
95,551
8
Enter qualifying distributions from Part XII, line 4
..............
8
113,000
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions on page 18.
Form
990-PF
(2011)
Form 990-PF (2011)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A” on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
665
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
............................
3
665
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-).
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
665
6
Credits/Payments:
a
2011 estimated tax payments and 2010 overpayment credited to 2011
6a
2,416
b
Exempt foreign organizations—tax withheld at source
.......
6b
c
Tax paid with application for extension of time to file (Form 8868)
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
2,416
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
1,751
11
Enter the amount of line 10 to be:
Credited to 2012 estimated tax
668
Refunded
11
1,083
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?
............................
1b
No
If the answer is “Yes” to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If “Yes,” attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If “Yes,” has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If “Yes,” complete Part II, col. (c), and Part XV.
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see page 19 of the
instructions)
NC
b
If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If “No,” attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV on
page 27)?
If “Yes,” complete Part XIV
..........................
9
No
10
Did any persons become substantial contributors during the tax year?
If “Yes,” attach a schedule listing their names and addresses.
10
No
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions)
.......
11
No
12
Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
BRANCH BANKING & TRUST COMPANY
Telephone no.
(910) 693-2726
Located at
130 APPLECROSS RD
PINEHURST
NC
ZIP+4
28374
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
......
15
16
At any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over
a bank, securities, or other financial account in a foreign country?
.................
16
No
See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country
Form
990-PF
(2011)
Form 990-PF (2011)
Page
5
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
.........................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
.................
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check “No”
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.........
Yes
No
b
If any answer is “Yes” to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?
...
1b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2011?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2011, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2011?
...............
Yes
No
If “Yes,” list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer “No” and attach statement—see page 20 of the instructions.)
.........
2b
No
c
If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business
enterprise at any time during the year?
.....................
Yes
No
b
If “Yes,” did it have excess business holdings in 2011 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2011.)
....................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2011?
4b
No
5a
During the year did the foundation pay or incur any amount to:
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
...............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)
...
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
........
Yes
No
b
If any answer is “Yes” to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
............
Yes
No
If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay
premiums on a personal benefit contract?
....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If “Yes” to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If yes, did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
Form
990-PF
(2011)
Form 990-PF (2011)
Page
6
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to
employee benefit plans
and deferred compensation
(e)
Expense account,
other allowances
BRANCH BANKING AND TRUST COMPANY
TRUSTEE
1
31,830
PO DRAWER 1149
PINEHURST
,
NC
28374
ROBERT HUTCHINSON
TRUSTEE
1
0
220 E WASHINGTON ST
ROCKINGHAM
,
NC
28379
JUDY S BLOUNT
TRUSTEE
1
0
715 STANLEY AVE
ROCKINGHAM
,
NC
28379
F BRENT NEAL
TRUSTEE
1
0
PO BOX 1657
ROCKINGHAM
,
NC
283791657
2
Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
If none, enter “NONE.”
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
3
Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Form
990-PF
(2011)
Form 990-PF (2011)
Page
7
Part IX-B
Summary of Program-Related Investments
(see page 23 of the instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See page 24 of the instructions.
3
Total.
Add lines 1 through 3
..........................
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations,
see page 24 of the instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
2,351,090
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see page 24 of the instructions)
............
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
2,351,090
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
2,351,090
4
Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
of the instructions)
...........................
4
35,266
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,315,824
6
Minimum investment return.
Enter 5% of line 5
..................
6
115,791
Part XI
Distributable Amount
(see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
115,791
2a
Tax on investment income for 2011 from Part VI, line 5
......
2a
665
b
Income tax for 2011. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
665
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
115,126
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
115,126
6
Deduction from distributable amount (see page 25 of the instructions)
...........
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
line 1
................................
7
115,126
Part XII
Qualifying Distributions
(see page 25 of the instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
113,000
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
113,000
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b (see page 26 of the instructions)
............
5
665
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
112,335
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2011)
Form 990-PF (2011)
Page
8
Part XIII
Undistributed Income
(see page 26 of the instructions)
(a)
Corpus
(b)
Years prior to 2010
(c)
2010
(d)
2011
1
Distributable amount for 2011 from Part XI, line 7
115,126
2
Undistributed income, if any, as of the end of 2011:
a
Enter amount for 2010 only
.......
110,173
b
Total for prior years:
2009
,
20
,
20
0
3
Excess distributions carryover, if any, to 2011:
a
From 2006
.......
0
b
From 2007
.......
0
c
From 2008
.......
0
d
From 2009
.......
0
e
From 2010
.......
0
f
Total
of lines 3a through e
.........
0
4
Qualifying distributions for 2011 from Part
XII, line 4:
$
113,000
a
Applied to 2010, but not more than line 2a
110,173
b
Applied to undistributed income of prior years
(Election required—see page 26 of the instructions)
0
c
Treated as distributions out of corpus (Election
required—see page 26 of the instructions)
...
0
d
Applied to 2011 distributable amount
.....
2,827
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2011.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
...........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable
amount—see page 27 of the instructions
...
0
e
Undistributed income for 2010. Subtract line
4a from line 2a. Taxable amount—see page 27
of the instructions
...........
0
f
Undistributed income for 2011. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2011
..........
112,299
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (see page 27
of the instructions)
...........
0
8
Excess distributions carryover from 2006 not
applied on line 5 or line 7 (see page 27 of the
instructions)
.............
0
9
Excess distributions carryover to 2012.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2007
....
0
b
Excess from 2008
....
0
c
Excess from 2009
....
0
d
Excess from 2010
....
0
e
Excess from 2011
....
0
Form
990-PF
(2011)
Form 990-PF (2011)
Page
9
Part XIV
Private Operating Foundations
(see page 27 of the instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2011, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2011
(b)
2010
(c)
2009
(d)
2008
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
....
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets” alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment” alternative test— enter 2⁄3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support” alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see page 27 of the instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) to individuals or organizations
under other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number of the person to whom applications should be addressed:
TONIA WRIGHT
130 APPLECROSS RD
PINEHURST
,
NC
28374
(910) 693-2726
b
The form in which applications should be submitted and information and materials they should include:
WRITTEN REQUEST FOR SCHOLARSHIP TO DUKE UNIV, UNC-CHAPEL HILL OR SALEM COLLEGE. WILL SHOW SCHOOL RECORD, HIGH SCHOOL, CLASS AND PLANNED MAJOR WRITTE REQUEST FOR PUBLIC SUPPORT - TITLE OF PROJECT, GOALS AND COST.
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
SCHOLARSHIP - RESIDENT OF RICHMOND COUNTY, NC PUBLIC SUPPORT - RELIGIOUS, CHARITABLE, SCIENTIFIC, LITERARY OR INSTITUTIONS THAT SUPPORT CITIZENS OF RICHMOND COUNTY AND STATE OF NC
Form
990-PF
(2011)
Form 990-PF (2011)
Page
10
Part XV
Supplementary Information
(continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
UNC CHAPEL HILL
CB 2200 JACKSON HALL
CHAPEL HILL
,
NC
275992200
NONE
EXEMPT
COLLEGE SCHOLARSHIP
78,000
DISCOVERY PLACE
301 N TRYON STREET
CHARLOTTE
,
NC
28202
NONE
EXEMPT
EDUCATIONAL
35,000
Total
.................................
3a
113,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2011)
Form 990-PF (2011)
Page
11
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See page 28 of
the instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
14
4,250
4
Dividends and interest from securities
....
14
61,896
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than inventory
18
30,832
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
LITIGATION PROCEED
01
477
b
FEDERAL TAX REFUND
01
869
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
98,324
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
98,324
(See worksheet in line 13 instructions on page 28 to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
page 28 of the instructions.)
Form
990-PF
(2011)
Form 990-PF (2011)
Page
12
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section
Yes
No
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is “Yes,” complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If “Yes,” complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
Signature of officer or trustee
Date
Title
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's address
Firm's EIN
Phone no.
Form
990-PF
(2011)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description
-
TIN:
TY 2011 OtherDecreasesSchedule
Name:
THOMAS H AND MARY HADLEY CONNER LEATH FND
EIN:
56-6294400
Description
Amount
ADJUSTMENT FOR ROUNDING
15
-
TIN:
TY 2011 OtherIncreasesSchedule
Name:
THOMAS H AND MARY HADLEY CONNER LEATH FND
EIN:
56-6294400
Description
Amount
DIFF IN MUTUAL FDS REC/REPORTED
1,047
ACCRUED INTEREST RECEIVED
1,249